PMID: 15247546Jul 13, 2004Paper

Endovascular treatment of cerebrovascular disease

Current Opinion in Neurology
Arnd DoerflerMichael Forsting

Abstract

This review summarizes recent advances in endovascular therapy for cerebrovascular disease. For ruptured aneurysms, the only large, randomized, controlled trial comparing surgical and endovascular treatment (the International Subarachnoid Aneurysm Trial) resulted in a significant reduction in death or dependency at 1 year, compared with surgery, providing sound evidence that coiling should be the treatment of first choice. Data from the International Study of Unruptured Intracranial Aneurysms demonstrated that treatment of unruptured anterior circulation aneurysms of under 7 mm with no history of subarachnoid hemorrhage is not justified. Embolization of arteriovenous malformations, as sole therapy, is curative only in a small percentage of cases, but can be part of a multimodal approach for reducing arteriovenous malformation size prior to surgery or radiotherapy. Partial treatment of complex arteriovenous malformations may be more dangerous than no treatment. Protection devices can reduce complication rates in carotid artery stenting, but scientific evidence is still lacking. Until the results of comparative trials are available, carotid artery stenting is indicated only in selected patients. Angioplasty and stenting of intrac...Continue Reading

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Citations

Jul 25, 2007·Der Radiologe·M-A WeberB Stieltjes
Oct 13, 2006·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Liz Warburton, Jonathan Gillard
Jun 28, 2011·Congenital Heart Disease·Nicholas CollinsEric M Horlick
Aug 1, 2006·Surgical Neurology·Cuauhtemoc García-PastorEdgar Nathal
Apr 12, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Nicholas CollinsEric Horlick
Apr 11, 2009·International Anesthesiology Clinics·Carsten Nadjat-HaiemIrene Osborn

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